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Nebraska rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $333.85 / $333.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $342.67 / $360.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $326.36 / $498.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $472.81 / $580.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.77 / $508.84 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.49 / $215.50 / $422.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.53 / $49.89 / $94.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.89 / $61.59 / $117.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.49 / $215.50 / $376.75